Organization
ASCOT PHARMACY CORP
Active
Other names
BETTYS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUDHA RAI RPH (PRESIDENT/PIC)
(424) 268-4904
Entity
Organization
Contact information
Practice address
1622 WILSHIRE BLVD, SANTA MONICA, CA 90403-5508
(424) 268-4904
(424) 268-4914
Mailing address
1622 WILSHIRE BLVD, SANTA MONICA, CA 90403-5508
(424) 268-4904
(424) 268-4914
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY 51189
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY 51189
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56-45859
NCPDP PROVIDER ID
CA
01
—
PHY 51189
BOARD OF PHARMACY RETAIL PERMIT
CA
Enumeration date
11/19/2012
Last updated
03/07/2023
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